Stephen R Goldbas (NPI# 1003892605, PAC ID# 1951344407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1003892605 |
| PAC ID by PECOS | 1951344407 |
| Professional Enrollment ID | I20050606000607 |
| Full Name | Stephen R Goldbas |
| Organization Legal Name | BE WELL MY FRIEND LLC |
| Address |
174 S Freeport Rd Suite 2a Freeport ME 04032-6145 |
| Phone Number | 8552393556 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 6406079342 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 200019 | SOUTHERN MAINE HEALTH CARE |
| Address | Phone | Organization |
|---|---|---|
| 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 | 8552393556 | BE WELL MY FRIEND LLC |
| Organization Legal Name | BE WELL MY FRIEND LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Fein | Family Medicine | Be Well My Friend LLC | 12 Shuman Ave, Suite 3, Augusta, ME 04330-6020 |
| Kevin R Kenerson | Family Medicine | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| Michael D Dufresne | Family Medicine | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| Angela L Branda | Pediatric Medicine | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| Brett D Adell | Clinical Social Worker | Be Well My Friend LLC | 12 Shuman Ave, Suite 3, Augusta, ME 04330-6020 |
| Julie E Franklin | Nurse Practitioner | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| Joseph J Sorbello | Physician Assistant | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| Street Address |
174 S FREEPORT RD SUITE 2A |
| City | FREEPORT |
| State | ME |
| Zip | 04032-6145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin R Kenerson | Family Medicine | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| John Gordon Haldeman | Physical Therapy | 174 S Freeport Rd, Suite 2c, Freeport, ME 04032-6145 | |
| David C Lilly | Psychologist, Clinical | 174 S Freeport Rd, Suite 2e, Freeport, ME 04032-6145 | |
| Michael D Dufresne | Family Medicine | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| James A Hendricks | Chiropractic | 174 S Freeport Rd, Suite 1f, Freeport, ME 04032-6145 | |
| Angela L Branda | Pediatric Medicine | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| Julie E Franklin | Nurse Practitioner | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| Joseph J Sorbello | Physician Assistant | Be Well My Friend LLC | 174 S Freeport Rd, Suite 2a, Freeport, ME 04032-6145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret R Kimball | Clinical Social Worker | 32 Linwood Rd, Freeport, ME 04032-1132 | |
| Michelle Renee Selby | Clinical Social Worker | Partnership for Trauma Recovery | 45 Mallett Dr, Freeport, ME 04032-1312 |
| Robert B Cameron | Clinical Social Worker | 45 Mallett Dr, Freeport, ME 04032-1312 | |
| Grace L Wright | Clinical Social Worker | Partnership for Trauma Recovery | 45 Mallett Dr, Freeport, ME 04032-1312 |
| Angie J. Moorman | Clinical Social Worker | Partnership for Trauma Recovery | 45 Mallett Dr, Freeport, ME 04032-1312 |
| Lyndsey Patton | Nurse Practitioner | Ibis Health Services - Maine LLC | 140 Main St, Suite 3, Freeport, ME 04032-1348 |
| Carrie Pollard Donoghue | Occupational Therapy | 147 Main St, Freeport, ME 04032-1353 | |
| Kevin C Zorski | General Practice | Kevin Zorski D.o. LLC | 42 Mallett Dr, Freeport, ME 04032-1355 |
| Laurel A Snow | Clinical Social Worker | 2 Cushing Briggs Rd, Freeport, ME 04032-6140 | |
| David Johnson | Osteopathic Manipulative Medicine | 36 Old S Freeport Rd, Freeport, ME 04032-6146 | |
| Find all physicians in zip 04032 | |||
| City | FREEPORT |
| Zip Code | 04032 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | FREEPORT + OSTEOPATHIC MANIPULATIVE MEDICINE |
Please comment or provide details below to improve the information on Stephen R Goldbas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.